Individual provider Active NPI

Michinori Tao, DC

  • Chiropractor
  • Camarillo, CA
National Provider Identifier
1083727150
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
17905 Issued in CA
Practice address
484 Mobil Ave
Suite 27
Camarillo, CA 93010-6303
Phone
(805) 384-2363
Fax
(805) 384-2364
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 17905 CA Primary

Addresses

Primary practice location

484 Mobil Ave
Suite 27
Camarillo, CA 93010-6303

Mailing address

484 Mobil Ave
Suite 27
Camarillo, CA 93010-6303
Phone (805) 384-2363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060227000222 CA Practitioner - Chiropractic 7315953569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

484 Mobil Ave
Suite 27
Camarillo, CA 93010-6363
Phone (805) 384-2363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tao Family Chiropractic, Inc. Chiropractor CurrentSince Jun 16, 2006 Accepting new patients

Locations

484 Mobil Ave
Ste 27
Camarillo, CA 93010
Phone (805) 384-2363

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1083727150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 MOBIL AVE",
            "address_2": "SUITE 27",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106303",
            "telephone_number": "805-384-2363",
            "fax_number": "805-384-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 MOBIL AVE",
            "address_2": "SUITE 27",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106303",
            "telephone_number": "805-384-2363",
            "fax_number": "805-384-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAO",
        "first_name": "MICHINORI",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.